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General NPI Number Information
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NPI Number | 1548144793
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Entity Type | Organization
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Legal Business Name | ERA - THE APEX OF MENTAL HEALTH
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 2013 W JARVIS AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60645-2373
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Country | US
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Telephone | 224-420-2402
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Fax | 224-420-2402
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Provider Business Mailing Address
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Address Line | 205 N MICHIGAN AVE STE 810A
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City | CHICAGO
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State | IL
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Zip | 60601-5927
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Country | US
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Telephone | 224-420-2402
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER - OWNER
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Name | DPERTILLER NICOLE PERTILLER
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Credential | LCPC
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Telephone | 224-420-2402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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